| NPI | 1275930026 |
|---|---|
| Former Name | ELLISE CHINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9590) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R221785-9) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2023-01-03 |