| NPI | 1235686965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA LEANNE ANTONELLI Managing Member 810-845-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV CRNA000414) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-09-15 |