| NPI | 1023366374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FRANCO Registered Agent 505-881-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00453) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |