NPI | 1376512699 |
---|---|
Former Name | VICTORIA MARGARET BAKER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190935) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO RN126044) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2015-06-05 |