| NPI | 1225196074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Officer 877-328-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-07-22 |