| NPI | 1114272325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNA KAY SANDERS President 918-344-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |