| NPI | 1760627491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KYLE President 662-327-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R605824) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-01-08 |