| NPI | 1437187903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FENNELL Authorized Official 810-753-0185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-09-19 |