| NPI | 1235671140 |
|---|---|
| Former Name | MELISSA GAYLE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 20576APN.RX) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 20576) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2025-04-15 |