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 |