| NPI | 1336999713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN TODD REESE Administrator 605-718-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-05-09 |