| NPI | 1790217081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA R MEANEY Owner 574-268-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28147521A) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-04-06 |