NPI | 1013311901 |
---|---|
Former Name | LAURA BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9310917) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9310917) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2022-10-28 |