| NPI | 1245521848 |
|---|---|
| Former Name | ELIZABETH ANNE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704272747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015281) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272747) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2017-01-23 |