NPI | 1497776371 |
---|---|
Former Name | MARILYN MANDICH POLIAKOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: ME TH880) |
Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: ME TH880) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2007-07-08 |