| NPI | 1770907859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSHINDA MILES Director 803-543-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA8464NA) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2023-12-18 |