| NPI | 1881577146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN DOKE-MAGRUDER Fnp/ Provider/Owner 505-250-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-09-23 |