| NPI | 1154019941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M DALITZ CEO/President 707-775-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |