| NPI | 1548514482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI MIGLORE Owner 480-229-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209008745) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |