| NPI | 1588954358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Md 833-922-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2020-10-01 |