| NPI | 1790129062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELLUYAH GAITHO Nurse Practitioner 702-569-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN001242) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NV APN001242) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |