NPI | 1720833635 |
---|---|
Other Name | CAITLIN CHACKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704387994) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704387994) |
Enumeration Date | 2024-04-23 |
Last Update Date | 2025-09-05 |