| NPI | 1700220100 |
|---|---|
| Former Name | MALISSA MARIE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA203035) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-09-14 |