Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | MD2013-0306 | NM |
NPI | 1417157215 |
---|---|
Provider Name | Catherine Joseph |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Houston, TX 77030-2619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 20/02/2018 |