| NPI | 1205139805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMENA E MARCUS Owner 505-293-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM R25188) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2016-03-25 |