| NPI | 1922016450 |
|---|---|
| Professional Name | MARISSA BROOKE ISRAEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007034) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00604300) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-02-22 |