| NPI | 1780911446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A BRICELAND Owner/Physician 623-546-6599 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ 19009) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |