| NPI | 1053786129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA KHETARPAL CEO 888-316-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-04-16 |