| NPI | 1518192640 |
|---|---|
| Former Name | MICHAELENE M BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: DE L90000104) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB0000270) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2016-11-08 |