| NPI | 1023773876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDOWU M AWOSERE Ap RN, Pmhnp Bc 505-225-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2021-11-22 |