| NPI | 1912330283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARLYLE General Partner/Resident Agent 443-907-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-09-23 |