NPI | 1912578667 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY PFEIFFER Director Of Medical Staff Services 833-352-0096 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2021-07-05 |
Last Update Date | 2021-11-29 |