| NPI | 1134467772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GONZALES Office Manager 505-242-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NM R11604) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |