| NPI | 1952611683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA CHRISTINE BULKLEY President 870-476-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02659) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |