| NPI | 1619147139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE C SMITH Owner 317-567-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 55000059A) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-01-08 |