| NPI | 1568747939 |
|---|---|
| Former Name | KIMBERLE LYNNE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05727) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030787) |
| 363A00000X Physician Assistant (Licence: CO PA0003586) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2016-01-20 |