| NPI | 1013202969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE MONTOYA Chief Operations Officer 505-753-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01740) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |