| NPI | 1285117879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY YOUNG Authorized Official 337-519-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |