| NPI | 1659727667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JANE WILHITE Nurse Practitioner/Owner 719-645-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX AP130133) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |