| NPI | 1306658570 |
|---|---|
| Former Name | MARISSA AWAAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025003389) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2025003389) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MO 2018025751) | |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2026-02-09 |