NPI | 1184904054 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILOMENA E MARCUS Owner 505-293-1658 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R25188) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2011-08-24 |