| NPI | 1619854494 |
|---|---|
| Former Name | NICOLE ELISE ZISSIMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 39761) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39761) |
| 163W00000X Registered Nurse (Licence: TN 274457) | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-10-09 |