| NPI | 1124707435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE MORELLO Authorized Official 985-707-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |