| NPI | 1821835174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BROVARNEY Pmhnp Bc 505-385-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |