| NPI | 1962095133 |
|---|---|
| Former Name | MARISSA M BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346936) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2023-05-23 |