| NPI | 1568666345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANE LEE HENKE Owner 410-335-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R069548) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-03-31 |