| NPI | 1366747347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN GOODMAN Md 812-456-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2023-03-23 |