| 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 |