| NPI | 1154338507 |
|---|---|
| Former Name | DANIELLE NICOLE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160076556) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-10-31 |