| NPI | 1073003018 |
|---|---|
| Former Name | CICELY A BAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1089795) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0001802-C-NP) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2023-09-28 |