| NPI | 1235482118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIA L KLINKHAMMER Provider 605-201-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000719) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |