| NPI | 1013164318 |
|---|---|
| Former Name | JAMIE LYNN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6250) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2627) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-01-03 |