| NPI | 1679194278 |
|---|---|
| Former Name | CHRYSTAL MATTAPPILLIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10182) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 10182) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-05-12 |