Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD2020-0806 | NM |
NPI | 1003262965 |
---|---|
Provider Name | Dr. Betsy Krause |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Albuquerque, NM 87120-3699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2016 |
Last Update Date | 27/08/2020 |