NPI | 1396203089 |
---|---|
Other Name | MARISA RIDDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 278016) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN181155) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2024-04-08 |