| NPI | 1063880052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIF BAWAHAB Admin 979-574-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704215191) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-03-31 |