| NPI | 1417469669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRESHAM Family Nurse Practitioner 623-226-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8433) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |