| NPI | 1518090562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE JOHNSON Office Manager 515-283-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-10-03 |