NPI | 1538987698 |
---|---|
Former Name | STEPHANIE CHRISTINE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP1700X Nurse Practitioner Perinatal (Licence: CA 95032296) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 800730) |
Enumeration Date | 2024-09-27 |
Last Update Date | 2024-09-27 |