| NPI | 1942554266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NWAOGU Owner 575-805-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01884) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |