| NPI | 1487218483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCKY K ROBINSON Owner/Practitioner 480-203-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2024-08-28 |