| NPI | 1073901054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MACK Authorized Official 302-356-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00715) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |