NPI | 1083163182 |
---|---|
Entity Type | Organization |
Authorized Contact | EUNICE UGOCHUKWU AO 702-778-7782 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 001660) |
Enumeration Date | 2016-09-30 |
Last Update Date | 2024-03-07 |