NPI | 1598992794 |
---|---|
Former Name | MARISSA LYTTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD214825) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 23357) |
207R00000X Internal Medicine (Licence: NY 253540) | |
Enumeration Date | 2009-06-15 |
Last Update Date | 2024-09-06 |