| NPI | 1891975595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN OLSEN Office Manager 801-576-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 891818251205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2024-01-02 |