| NPI | 1942048475 |
|---|---|
| Other Name | MARISSA PROVOST CONTRERAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2301689) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |