| NPI | 1356988125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A LEOPOLD President 271-417-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2020-01-07 |