| NPI | 1518392380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILA TAYLOR Owner 915-929-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02129) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP02155) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-19 |