| NPI | 1649745035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED ROBIN LOVELOCK Manager 239-246-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2022-06-02 |