| NPI | 1720383508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DE PERALTA President 702-321-6459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09621900) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |