| NPI | 1235515578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CLAIRE O'HARA Owner 928-607-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN160969) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |