| NPI | 1265812929 |
|---|---|
| Former Name | MARISSA LYN HEATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 108820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 265158) |
| 163W00000X Registered Nurse (Licence: FL 9335165) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2016-02-25 |