NPI | 1316240674 |
---|---|
Other Name | MARISA KOOIMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9246107) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9246107) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2021-09-17 |