| NPI | 1891382057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MARIA SMITH Nurse Practitioner 812-274-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |