| NPI | 1669182085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLINI KAYE MCKINLEY Nurse Practitioner 317-439-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-02-08 |