| NPI | 1851657779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZRA SHIBLI SHERIFF President 219-769-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003925A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003925B) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |