| NPI | 1003432360 |
|---|---|
| Former Name | JENNIFER ROSE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113170) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10048) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |