| 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 |