| NPI | 1649577404 |
|---|---|
| Former Name | RENEE MARRS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-98182-062) |
| 363L00000X Nurse Practitioner (Licence: KS 53-75201-062) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2021-04-02 |