NPI | 1730729070 |
---|---|
Former Name | ELIZABETH HARDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1045851) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012932) |
Enumeration Date | 2020-01-15 |
Last Update Date | 2024-05-09 |