| NPI | 1770618878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE S HUMPHREY Practice Administrator 704-864-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-03-10 |