| NPI | 1598947772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CORMIER Owner 435-882-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 02183324405) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |