| NPI | 1023749512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND CAUMBAN Owner 602-574-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-09-26 |