| NPI | 1770223240 |
|---|---|
| Former Name | MARISA LYNN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036176590) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-08-20 |