| NPI | 1114208949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERNEY BEEBE Business Manager 3373-664-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |