| NPI | 1821045410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CAPARROS Authorized Representative 219-738-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-03-05 |