| NPI | 1144546300 |
|---|---|
| Former Name | MARISSA VAWTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.125326) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2017-07-11 |