| NPI | 1366194623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENE MARIE LA MARCA Member 575-644-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |