Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 58795 | AZ |
NPI | 1205218856 |
---|---|
Provider Name | Natsu Fukui |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2015 |
Last Update Date | 09/09/2020 |