| NPI | 1861580177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWATI M DAFTARY Md 502-495-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 30614) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3003332) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-05-11 |