| NPI | 1053397695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE NORTHROP Vice President Of Finance 808-263-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |