| NPI | 1578836169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A DUDLEY Owner 772-335-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1447122) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |