| NPI | 1013737261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA DIONNE CLARKE Nurse Practitioner/Owner 505-258-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-30 |