| NPI | 1568765022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH E ROMO Owner 915-328-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01626) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2011-04-20 |