| NPI | 1477759322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES KATHLEEN (KATHY) LOPEZ-BUSHNELL Owner 505-450-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM RN09379) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-12-06 |