| NPI | 1265878599 |
|---|---|
| Former Name | MARISSA CINDRA DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: CO DR.0061575) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35134186) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0061575) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-08-31 |