| NPI | 1679635924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA HERN President 813-215-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2702392) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-02-16 |