| NPI | 1801585690 |
|---|---|
| Professional Name | MARISA TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2026-02-19 |