| NPI | 1386031797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA KEALOHILANI MARTINEZ Nurse Practitioner 505-504-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NM CNP 02038) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |