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