| NPI | 1225124142 |
|---|---|
| Former Name | MARILISE B. MARANCIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA02861) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004002) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-10-06 |