NPI | 1174561955 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY MORTENSON President 305-285-2191 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2006-06-03 |
Last Update Date | 2020-08-22 |