| NPI | 1063962819 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICIA JALOMO Whnp/Owner 520-237-2420  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP7401)  | 
| Enumeration Date | 2016-10-05 | 
| Last Update Date | 2016-10-05 |