| NPI | 1033738786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LEE GUTIERREZ Owner 505-859-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-03-28 |