| NPI | 1477127264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALA-NICOLE RIVERA Owner / Director 505-730-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |