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 |