| NPI | 1083148142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA A. MAHONY President/Owner 805-786-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2017-04-16 |