| NPI | 1104483098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA SLABA Managing Partner 877-393-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2024-01-01 |