| NPI | 1184691479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JO SANCHEZ Office Manager 505-323-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R15512) |
| Enumeration Date | 2006-03-05 |
| Last Update Date | 2020-08-22 |