@VeeLearnMSFT
There needs to be a field connecting the two lists. I suggest that you use something like PhysicianPracticeID as a number type column in the child list. It will be the ID from the Physician Practice list. Then, assuming the gallery on the left is your physician practice list and is called Gallery1, you would set the DataSource of the form to 'App Practice Opportunity Profile' and the Item property to:
Lookup( 'App Practice Opportunity Profile', ID=PhysicianPracticeID).
Then In the card for PhysicianPracticeID in the form, Set the Update property of the card to: Coalesce(Parent.Default, Gallery1.Selected.ID)
and hide the card. This will guarantee that if the form is in new mode, it captures the ID from the Physician practice table since the Parent.Default will be blank. In the case of the form being in edit mode, there will be a value as the Parent.Default. I would hide it so the user can't change it.