| NPI | 1790996833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LEE TAYLOR Nurse Practitioner 505-396-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R44519) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-01-25 |