NPI | 1376903138 |
---|---|
Entity Type | Organization |
Authorized Contact | JUGROOP BRAR Owner/Doctor 623-313-8599 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8508) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP8508) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2016-03-07 |