| 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 |