| NPI | 1871375212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE MARIE ROMERO Authorized Representative 505-426-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-01-31 |