| NPI | 1578862975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL D. PITKIN Owner 575-613-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP00496) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2012-04-30 |