| NPI | 1255913109 |
|---|---|
| Former Name | MARISSA HURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2293349) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 070155-23) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-02-26 |