| NPI | 1154034395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUPUR MEHTA President 234-200-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-04-23 |