| NPI | 1104107192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JOSLIN CEO 505-327-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0229) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0578) |
| 363A00000X Physician Assistant (Licence: NM PA2008-0053) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2012-05-23 |