| NPI | 1023323128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY S CLONINGER Executive Director 704-831-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |