| NPI | 1003992868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THOMAS COO Physician Enterprise 410-601-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 03-004) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 03-004) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-05-18 |