NPI | 1306036579 |
---|---|
Former Name | MEAGHAN M BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 065286) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231420) |
208000000X Pediatrics (Licence: GA 65286) | |
Enumeration Date | 2007-07-25 |
Last Update Date | 2013-09-18 |