| NPI | 1932312956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BRANDT GRAHAM Owner 505-884-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM 86-237) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |