| NPI | 1053290676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILJANA TRUJILLO Authorized Official 833-276-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |