| NPI | 1427494202 |
|---|---|
| Former Name | MARISSA ALCANTARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 04-38836) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-38836) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2018-09-11 |