| NPI | 1790271690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE MORRIS CHRISTEN Authorized Official 310-963-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |