| NPI | 1720011877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE M MACDONALD President 321-243-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-01-15 |