| NPI | 1063641520 |
|---|---|
| Former Name | MICHELLE SUZANNE RATHBUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME108171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME108171) |
| 207Q00000X Family Medicine (Licence: FL 13489) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-12-06 |