| NPI | 1649995028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BILOF Authorized Official/Owner 602-848-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |