| NPI | 1881907632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SUZANNE GARZA Registered Nurse First Assistant 575-921-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R58667) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |