| NPI | 1114212149 |
|---|---|
| Former Name | MICHAELA R O'ROURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2430) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-09-26 |