| NPI | 1881285518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERISSA C DIMAILIG Managing Member 702-878-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |