| NPI | 1356194575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE DIANA TSIAKOPOULOS Nurse Practitioner 219-713-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |