| NPI | 1043818156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FALL Manager 253-682-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2025-03-07 |