| NPI | 1073393153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA ISSANDA STOWATER Owner/Provider 480-840-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |