| NPI | 1053632216 |
|---|---|
| Former Name | MARISA LYNN NORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A114699) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DC MD042751) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-03-23 |