NPI | 1386712560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RNP273255) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC19015) |
101YP2500X Counselor, Professional (Licence: TX 13622) | |
163W00000X Registered Nurse (Licence: AZ RN171656) | |
163W00000X Registered Nurse (Licence: TX 614997) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2022-06-10 |