| NPI | 1356616163 |
|---|---|
| Former Name | MARISSA ANN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60313330) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1332) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2023-03-07 |