| NPI | 1679233266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GABRIELA PAU VEITIA Administrator 702-331-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2023-02-03 |