| NPI | 1194140277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI FURY Cfnp/Owner 505-899-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM MD2004-0125) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NM CNP01240) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-04-09 |