| NPI | 1013464379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA E ORTEGA Owner 505-340-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2022-05-03 |