| NPI | 1437983012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WHITEHEAD Authorized Official 696-252-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |