| NPI | 1033407382 |
|---|---|
| Former Name | MARISSA CAMILON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A123446) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-05-26 |