| NPI | 1932733565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POPPY WALKER Business Office Manager 325-660-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-12-09 |