| NPI | 1477649036 |
|---|---|
| Former Name | CARMEN KIMBERLY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD187023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60076645) |
| 207Q00000X Family Medicine (Licence: OR MD187023) | |
| 208600000X Surgery (Licence: TX T4936) | |
| 208600000X Surgery (Licence: WA MD 60076645) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-30 |