| NPI | 1518096387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANDERSON Owner 731-225-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10987) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |