| NPI | 1154416584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA L HEFKER Owner 505-425-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R34642) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |