| NPI | 1215387352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI A KRONEMEYER COO 574-295-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 28142238A) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-02-27 |