| NPI | 1164572418 |
|---|---|
| Former Name | MARISSA R NEWTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA2241) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA 2241) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-04-12 |