| NPI | 1972783678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA R SALAS Owner 505-982-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM R23147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R23147) |
| 363L00000X Nurse Practitioner (Licence: NM R23147) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2019-07-02 |