| NPI | 1477824209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARTIN Single Mbr 810-659-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704155031) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-30 |