NPI | 1881041515 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNNE IMHOFF Sole Member 918-728-4504 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 13167) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2016-05-23 |
Last Update Date | 2016-05-23 |