| NPI | 1306270251 |
|---|---|
| Former Name | MARISSA N MONTALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.14944) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2025-06-18 |