| NPI | 1427430032 |
|---|---|
| Former Name | MARISSSA LEE BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0994226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 103068) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557356) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2020-03-05 |