| NPI | 1457807794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMALA LEA WILSON Partner 918-704-5556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R31793) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |