| NPI | 1760351456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILEE KRUPA Owner 435-406-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 173C00000X Reflexologist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-11-01 |
| Last Update Date | 2025-11-01 |