NPI | 1003202193 |
---|---|
Former Name | ANN M BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17216-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN54221-FNP-BC) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2022-02-23 |