| NPI | 1376918235 |
|---|---|
| Former Name | MARISA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 9586) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ND 1457) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2016-10-31 |