Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2000-09 | NM |
NPI | 1003840638 |
---|---|
Provider Name | Dr. Karen Anne Baldi |
First Address | Montezuma, NM 87731-0222 |
Second Address | Montezuma, NM 87731-0222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 16/10/2008 |