| NPI | 1487010518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEELA AMEEN Sole Member 520-971-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4903) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |