| NPI | 1881411445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA SEDO Billing Specialist 702-379-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |