| NPI | 1104496066 |
|---|---|
| Former Name | MARISIA R PRASKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8529) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 8259) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-03-19 |