| NPI | 1194131979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S ROWLES C RN A 317-694-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-07-30 |