Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0000X | Obstetrician | CS00208930 | NM |
NPI | 1093809477 |
---|---|
Provider Name | Laura E Onorato |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Santa Fe, NM 87505-7602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 15/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
57272361 | (05) | NM |
Q03936 | (02) |