| NPI | 1083751838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA JENE REID Sole Proprieotor 505-250-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R07010) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-01-24 |