| NPI | 1265681589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN GELO Owner 702-497-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN00362) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2009-05-28 |