NPI | 1326777418 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN BARRETT Owner 505-472-7243 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2022-06-06 |
Last Update Date | 2023-09-29 |