| NPI | 1598274151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALKER MELISSA CFO 702-616-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-29 |