| NPI | 1376902478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BOWYER Credentialing Specialist 240-566-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2019-05-20 |