| NPI | 1083062319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN FARLEY Sole Proprietor 801-910-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 6962510-4406) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-04-23 |