| NPI | 1780205823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ZARINA DIAO Nurse Practitioner 702-768-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |