NPI | 1548729874 |
---|---|
Other Name | MARISSA LAINEY BARANOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 94671) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-16 |
Last Update Date | 2023-06-06 |