| NPI | 1265929004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BEAU PERRY President/Owner 484-769-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-03-05 |