| NPI | 1235003351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYA J MONTOYA Managing Member 404-840-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2026-07-24 |