| NPI | 1619474681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON ABRAHAM Ap RN 702-413-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002841) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-08-28 |