NPI | 1194385229 |
---|---|
Former Name | MARISA ANNE VOOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09213) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 001009213) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2024-09-18 |