| NPI | 1689058463 |
|---|---|
| Former Name | MARISA L JAWORSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704283890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 17658) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2024-04-28 |