| NPI | 1487132445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL YVETTE BLAKE President 215-681-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-08-24 |