| 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 |