| NPI | 1124322474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILKINSON Business Operations Director 702-818-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2024-11-11 |