NPI | 1144691528 |
---|---|
Former Name | MARISSA F KLEFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 264412) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008128) |
363L00000X Nurse Practitioner (Licence: FL ARNP9467370) | |
Enumeration Date | 2015-10-12 |
Last Update Date | 2024-02-16 |