| NPI | 1790123263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA HAMMERLY Owner/Sole Proprietor 317-873-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28143711A) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |