| NPI | 1225929771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE WALLER Owner 708-275-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |