Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1790907848 |
---|---|
Provider Name | Karen E Rasmussen |
First Address | Scarborough, ME 04074-9692 |
Second Address | Scarborough, ME 04074-9692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 06/09/2007 |