| NPI | 1790229193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMALA LEA WILSON CEO, President 918-704-5556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-01442) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |