| 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 |