| NPI | 1568889327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SUE BUSINSKY Registered Agent 443-837-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2020-02-13 |