| NPI | 1295104883 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JANE B PARKER Owner 574-268-9640  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28083465A)  | 
| Enumeration Date | 2015-09-24 | 
| Last Update Date | 2015-09-24 |