| NPI | 1649087644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NIEDERWERDER Owner 913-276-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |