NPI | 1487042537 |
---|---|
Entity Type | Organization |
Authorized Contact | GITANJALI SHARMA Owner 801-318-2624 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 5660172-4405) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2016-03-14 |