| NPI | 1609389394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA SEDO Billing Agent 702-333-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002705) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-02-02 |