NPI | 1396785689 |
---|---|
Former Name | ALISA M ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME DO1938) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO1938) |
207Q00000X Family Medicine (Licence: ME DO1938) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2023-01-13 |