NPI | 1235523036 |
---|---|
Former Name | ANNE-JEANETTE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP7706) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7706) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2021-03-31 |