| NPI | 1528429438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BOYLAN Sole Member/Nurse Practitioner 505-929-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NM CNP02459) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |