| NPI | 1093992679 |
|---|---|
| Former Name | MARISSA DECASTRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2011013954) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 002828) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2011-12-29 |