| NPI | 1447444567 |
|---|---|
| Other Name | MARISA D. MACKAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209006722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209006722) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2022-01-11 |