| NPI | 1558459917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHANA R ARLA President 502-955-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-04-21 |