NPI | 1558152892 |
---|---|
Former Name | MARISSA JEAN SCHOEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17186-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 244683-30) |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-09-02 |