| NPI | 1992666754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE M PAUL C RN A/Owner 802-316-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |