| NPI | 1144297516 |
|---|---|
| Former Name | MARISSA CASTRO FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 18726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 292453) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2024-02-26 |