| NPI | 1265733018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI ALVARADO Receptionist 520-751-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN036763) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2011-05-06 |