| NPI | 1730631300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN FAWSON President 801-695-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 320368-4402) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 3203688900) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |