| NPI | 1023741188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MARIN Owner 915-740-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-08-12 |