| NPI | 1942413885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENN SUSAN ROBINSON President 505-821-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM NM 76-253) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-01-05 |