| NPI | 1083089460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HOPE Director Of Business Relations 877-217-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ Ap8072) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |