| NPI | 1033161286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BENSON Practice Director 410-296-4616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-06-05 |