| NPI | 1811940752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE L MOHAMED President 928-329-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ RN054554) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-08-01 |