| NPI | 1558764399 |
|---|---|
| Former Name | MARISSA CHRISTINE GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP126512) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: TX AP126512) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2024-07-09 |