| NPI | 1790127470 |
|---|---|
| Former Name | MARISSA LYNN MYHRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0152) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R-1657287) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-08-29 |