| NPI | 1154350981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RAWA Baa Practice Manager 724-234-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-06-27 |