| NPI | 1982315529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J CABRERA CEO/Pediatric Nurse Practitioner 623-570-7829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |