| NPI | 1548401789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S BASHORE Administrator 704-779-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2013-01-23 |