| NPI | 1508581851 |
|---|---|
| Former Name | ELLEN RABAUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704344232) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-05-29 |