NPI | 1255755211 |
---|---|
Former Name | KATHRYN EILEEN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 5246) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN150788) |
363LF0000X Nurse Practitioner Family (Licence: AZ AP5246) | |
Enumeration Date | 2014-02-11 |
Last Update Date | 2020-09-08 |