| NPI | 1992014401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA GIBSON President 909-268-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3135) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |