| NPI | 1861019556 |
|---|---|
| Former Name | DORISSENIA ANNTIONETTE MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0079394) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-02-19 |