| NPI | 1104495175 |
|---|---|
| Former Name | PRISCILLA MARIUSSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 632611) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 632611) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-11-06 |