| NPI | 1659498848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA LEE KYUNG-HEE Pediatric Nurse Practitioner 928-522-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ AP1060) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-12-12 |