NPI | 1831558360 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DAWN PAYNE Owner/Manager 208-525-2090 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-16 |