| NPI | 1134648348 |
|---|---|
| Former Name | AMANDA CHRISTINE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017033836) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-143291) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2018-07-02 |