| NPI | 1346556909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA LAPERLE Office Manager 435-654-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 852049924405) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |