| NPI | 1891701017 |
|---|---|
| Former Name | MARISA SUMMER IRWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 8343) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 137399) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-07-29 |