| NPI | 1396269668 |
|---|---|
| Former Name | ELIZABETH S. TOLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016196) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-11-30 |