| NPI | 1407136013 | 
|---|---|
| Former Name | CINAMON L VAN HORN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003822A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003822A) | 
| Enumeration Date | 2011-08-26 | 
| Last Update Date | 2022-10-20 |