| NPI | 1861545857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WALL President 239-433-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1389652) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2007-11-16 |