| NPI | 1033965066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORA JUSTINE KNUDSON President/CEO/Owner 208-695-5694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-06-20 |