NPI | 1972758688 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA LOUISE LEWIS Owner Of Business/ Np C Provider 575-666-2475 |
Organization Subpart ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NM R24775) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2011-10-22 |