| NPI | 1861957201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA COURTIER Statuatory Agent 520-885-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-08-05 |