| NPI | 1174959431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A JAHRIES Owner 435-604-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 199354-4405) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2015-03-09 |