| 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 |