| NPI | 1831649839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA LAY Office Manager 719-686-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0992468) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |