| NPI | 1285813105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY C JOHNSON President 239-470-1674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 932572) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2008-05-06 |