NPI | 1124062161 |
---|---|
Former Name | KIMBERLY K BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110373) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 084197) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110373) | |
367A00000X Advanced Practice Midwife (Licence: IA B084197) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2021-10-21 |