| NPI | 1851768022 |
|---|---|
| Former Name | ILSA MCEWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19047) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 202409) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 6600-33) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2022-06-02 |