NPI | 1407047996 |
---|---|
Former Name | CHRISTINA MARIE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2348) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME T0767) |
207Q00000X Family Medicine (Licence: TX N0622) | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2014-11-13 |