| NPI | 1114060092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARIE K BRUDER Business Development Director 505-647-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NM R33894) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |