| NPI | 1689986085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY K MILLER Business Owner 702-368-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN000709) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-17 |