| NPI | 1487832986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH KIRST-MILLSPAUGH Adult Nurse Practitioner 505-466-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: NM R60905) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |