| NPI | 1003538182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNIE BUDET Credentialing Director 702-462-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-03-16 |