| NPI | 1497187991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY JEAN UMANA Nurse Practitioner 317-962-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IN 71004542A) |
| Additional Taxonomies | 261Q00000X (Licence: IN 71004542B) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-09-10 |