NPI | 1457414450 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA D FREEMAN Ownder/C RN A 605-977-2767 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 0471) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-06-25 |