| NPI | 1811497076 |
|---|---|
| Former Name | MARNIE JEAN DESCHAMPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT 129062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 129062) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2026-04-16 |