| NPI | 1528586765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERIA MULLIN Chief Executive Officer 708-699-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-10-24 |