| NPI | 1093758831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA MARTINEZ Administrator 505-326-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-08-07 |