| NPI | 1730466715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRAZIL Certified Family Nurse Practitioner 505-469-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00707) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |