| NPI | 1376779744 |
|---|---|
| Former Name | MARISSA L ANDRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A118959) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A118959) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2020-11-18 |