| NPI | 1851710891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER KUEMMEL Owner 763-227-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4834-33) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2016-10-07 |