NPI | 1356961429 |
---|---|
Former Name | ALYSSA CHRISTINE BAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-161970) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-161970) |
Enumeration Date | 2020-04-19 |
Last Update Date | 2023-09-28 |