| NPI | 1861851222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARTIN Nurse Practitioner 702-600-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN00437) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |