| NPI | 1841988136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ERFE Administrator 702-704-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |