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 |