Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 602 | NM |
NPI | 1033307897 |
---|---|
Provider Name | Naomi Hannah |
First Address | Taos, NM 87571-6282 |
Second Address | Taos, NM 87571-6282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2007 |
Last Update Date | 24/01/2011 |