| NPI | 1770166837 |
|---|---|
| Former Name | MARISSA ROSE GRAMMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 672769) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-12-08 |