| NPI | 1033607924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN MASIH President 317-893-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006967) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-06-06 |