| NPI | 1689446916 |
|---|---|
| Former Name | MARISA PAIGE HAMMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101388) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |