| NPI | 1487338844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BLASI Owner 702-574-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-04-25 |