| NPI | 1245943414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JEFFERSON Practice Consultant 214-977-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-11-14 |