| NPI | 1043898406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLINE NGALAME Owner 702-281-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-05-18 |