| NPI | 1023123940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAKAR KOTIYAN CEO & President 844-889-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 2686735) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-01-31 |