| NPI | 1740561562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE C HAKEMAN President 480-369-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2088) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2012-03-14 |