Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 475 | NM |
NPI | 1164522009 |
---|---|
Provider Name | Margaret Doubrava |
First Address | Las Cruces, NM 88006 |
Second Address | Las Cruces, NM 88005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
48520730 | (05) | NM |
Q41889 | (02) |