NPI | 1497137277 |
---|---|
Former Name | MARISSA HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0134355) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NH 071823-21) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2021-02-16 |