| NPI | 1336746692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE SELF Founder 520-829-9987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-09-02 |