| NPI | 1871919597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY A SARMIENTO Family Nurse Practitioner 317-850-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IN 74004804A) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-19 |