NPI | 1528352457 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE TRUJILLO Owner 505-508-5398 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01205) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2011-06-08 |