| NPI | 1063225738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDANIA PADRON-SUAREZ Owner 702-813-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-04-01 |