| NPI | 1194249540 |
|---|---|
| Former Name | MARISSA ANN CISNEROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |