| NPI | 1952589541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JULIANA MOSS LLC Managing Member 702-242-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 9708) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2009-10-01 |