| NPI | 1033534334 |
|---|---|
| Former Name | MARISSA JANE HURLBURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0116285) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0116285) |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2015-10-29 |