| NPI | 1578340378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON ZERAY ABRAHAM Manager 702-355-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |