| NPI | 1023478179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MARIA SMITH Nurse Practitioner 317-381-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71005228A) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |