| NPI | 1104408129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE OCHOA Owner 915-615-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |