| NPI | 1811522238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY MASON Member / Nurse Practitioner 505-554-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |