| NPI | 1871116996 |
|---|---|
| Former Name | MARISSA ELIZABETH SIMEONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN52453) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2024-11-20 |