| NPI | 1366264483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MARIN Owner 915-740-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |