| NPI | 1295057354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARONELLE SIMMONS Member/Medical Director 480-949-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 13628) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2011-02-23 |