NPI | 1053817940 |
---|---|
Former Name | EMILY N BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T1644) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2020-01853) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-08-14 |