| NPI | 1376019786 |
|---|---|
| Former Name | MARISSA CATHERINE NIEMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007561) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-11-18 |