| NPI | 1770391070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PILAR LYAS Co Owner/Np 601-467-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-05-22 |