| NPI | 1558740548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN SMERKO Sole Proprieter 602-235-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN071540) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |