| NPI | 1295089761 |
|---|---|
| Former Name | MARISSA NILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051292142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034523) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2015-12-15 |