| NPI | 1013185784 |
|---|---|
| Former Name | ELIZABETH C MCILVAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10000507) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009739) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2022-12-15 |