NPI | 1700044096 |
---|---|
Former Name | SHONAREESA RHOLENCIA MEDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: MD L0004521) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2008-05-23 |