| NPI | 1972486504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WILSON President/Owner 816-517-9236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |