| NPI | 1700916038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE SISNEROS Owner 505-954-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM Ri9344) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |