| NPI | 1689405078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GARALDE WALKER Owner 702-580-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-11-08 |