| NPI | 1205265279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE MATHEW Director 702-885-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 3205) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN001223) |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2014-04-20 |