NPI | 1962259499 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE SLACK Nurse Practitioner 435-531-9268 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-05-02 |