Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | MD2015-0525 | NM |
NPI | 1437323748 |
---|---|
Provider Name | Karen Ann Hawley |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Albuquerque, NM 87106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 21/07/2015 |