| NPI | 1265918502 |
|---|---|
| Former Name | MARINA MARININE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55769) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PA55769) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-04-18 |