| NPI | 1700302791 |
|---|---|
| Former Name | MARISSA SCHANBACHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN002680) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV TAPRN701672) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |