| NPI | 1982148375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMARIE SAIS Manager/Owner 505-298-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM MD2006-0142) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-04-24 |