| NPI | 1043508518 |
|---|---|
| Former Name | MARIBEL R. KISSACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ND R42848) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NE 72174) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2018-02-21 |