| NPI | 1902975436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. ELAINE MONTANO Owner 505-989-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R27286) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |