| NPI | 1184761876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA CABRAL Professional Staff Services COO R. 775-982-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
| 207QS0010X Family Medicine Sports Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-09-25 |