| NPI | 1346958204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY RAMOS Owner 702-703-5597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-05-06 |