Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 2005-0550 | NM |
NPI | 1316952872 |
---|---|
Provider Name | Sara E Skarbek-Borowska |
First Address | Albuquerque, NM 87106-2745 |
Second Address | Albuquerque, NM 87131-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 09/02/2015 |