| NPI | 1962049759 |
|---|---|
| Former Name | CHRISTINE CHISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 308185) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704274694) |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2025-09-26 |