| NPI | 1003503079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER E KOETTEL President 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |