| NPI | 1003523192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN WATERMAN C RN A, Owner 325-660-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-12-21 |