| NPI | 1164425450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-LOUISE MULCAHY Administrator 480-357-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3090) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 86) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 86) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2012-11-14 |