| NPI | 1881033231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KERNEN Department Of Health Provider 505-263-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 1130) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |