| NPI | 1760999692 |
|---|---|
| Former Name | MARISSA ELIZABETH CASSIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993611-NP) |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2023-11-03 |