| NPI | 1831814953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA TASHA MONIQUE BRUNER-HILL Fnp 720-266-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-03-31 |