| NPI | 1124425905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LIPSCOMB VP Finance/CFO 301-533-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2014-11-23 |