| NPI | 1952633190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WALTERS Manager 704-355-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 91390) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |