| NPI | 1356131924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HOISINGTON Owner 505-340-1467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-09-05 |