| NPI | 1366849465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LESUEUR Owner 801-350-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 5188629-4406) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-02-22 |