| NPI | 1215106679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIN TRAHEY Administrator 248-865-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2025-11-04 |