| NPI | 1265131676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MARIA RIVERA Owner 702-849-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-09-03 |