Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 04004R | NM |
NPI | 1013241975 |
---|---|
Provider Name | Ms. Ellen Ludwig |
First Address | Santa Fe, NM 87507-5015 |
Second Address | Santa Fe, NM 87507-5015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2009 |
Last Update Date | 10/07/2013 |