| NPI | 1790166486 |
|---|---|
| Former Name | ELIZABETH TULLIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 129049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339815) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-03-08 |