| NPI | 1629505375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER AUSIELLO Co Owner 702-439-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001662) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |