| NPI | 1144649195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GUZMAN President 219-803-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IN 70000128a) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |