NPI | 1518377613 |
---|---|
Former Name | MICHELLE ELIZABETH LALONDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: CO DR.0064953) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD467207) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2022-04-21 |