| NPI | 1710026281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A DUDLEY Nurse Anesthesia 772-201-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-11-02 |