NPI | 1962638247 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CHRISTINE SEALS Manager 480-384-0380 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN093886) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2021-10-15 |