| NPI | 1407524705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MONRAD Owner/Auth Official 907-360-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |