| NPI | 1851320048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES ELIZABETH OBLAS Member 602-405-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP0113) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-10-10 |