| NPI | 1952579518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TIJUNELIS President 224-234-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |