| NPI | 1750817300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORINA KING Office Manager 888-545-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0898) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-07-25 |