Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A-2407-20 | NM |
NPI | 1063855195 |
---|---|
Provider Name | Dr. Erin Gray Clarkinson |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Albuquerque, NM 87131-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 15/10/2020 |