| NPI | 1255702486 |
|---|---|
| Former Name | JENNIFER BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704210190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704210190) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2017-04-07 |