| NPI | 1134839319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ISOM Billing Manager 425-407-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-12-15 |