| 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 |