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 |