nvapi.dll has 90 known versions, the most recent one is 9.18.13.3182. The average file size is about 1.33 MB. It is an authenticode code-signed executable issued to NVIDIA Corporation by the certification authority VeriSign.
Based on 40+ industry antivirus scanners, 6 of them detected the following malware.
United States installs about 29.81% of NVIDIA Windows drivers.