| NPI | 1215429410 |
|---|---|
| Former Name | KATHRYN KAY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-02811) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238275) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-11-11 |