NPI | 1427061886 |
---|---|
Former Name | ELAINE ROSE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD14675) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00025040) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2010-11-01 |