| NPI | 1790907871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN HETHERINGTON Managing Member 410-372-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R066163) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-03-11 |