| NPI | 1104177989 |
|---|---|
| Former Name | MARISSA CHRISTINE BURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OR 201250151NP) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2013-10-29 |