NPI | 1124037429 |
---|---|
Former Name | KATHRYN MARGARET BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9496831) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006919) |
363LF0000X Nurse Practitioner, Family (Licence: WI 530) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-07-24 |