Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | R27218 | NM |
NPI | 1063674398 |
---|---|
Provider Name | Margaret Hemm |
First Address | Portales, NM 88130-0843 |
Second Address | Clovis, NM 88101-5568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 10/08/2011 |