| NPI | 1417065152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE OVERTON President 208-939-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N25778) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-12-13 |