| NPI | 1679544118 |
|---|---|
| Other Name | CRNA |
| Entity Type | Organization |
| Authorized Contact | ELLEN Z PERIN Director Of Finance 570-558-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-07-21 |