| NPI | 1003169376 |
|---|---|
| Former Name | MARY C BAUGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5150-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 150638) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2021-11-18 |