NPI | 1245355056 |
---|---|
Former Name | ELISSA KALINCHUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 915339) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 168502) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2022-08-02 |