| NPI | 1932554771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY M NZIVO Manager 702-816-4639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002206) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2017-10-19 |