| NPI | 1952513541 |
|---|---|
| Former Name | CLARISSA GESMUNDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2013027611) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 41675) |
| 207Q00000X Family Medicine (Licence: GA 067878) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-02-11 |