| NPI | 1083917637 |
|---|---|
| Former Name | MARISSA JO HERBON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 086620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 177006-7) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2021-03-11 |