| NPI | 1841493863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANN BOTY Practice Manager 610-554-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-01-18 |