| NPI | 1972048528 |
|---|---|
| Former Name | CARRISSA ADBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015283) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209015283) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2022-11-02 |