| NPI | 1831278076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KINGHORN Owner 208-525-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N-15840) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |