NPI | 1578169215 |
---|---|
Former Name | BAILEY CHRISTINA BALDWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 7686) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005922) |
363A00000X Physician Assistant (Licence: CA 58494) | |
363A00000X Physician Assistant (Licence: AZ 7686) | |
Enumeration Date | 2020-12-08 |
Last Update Date | 2023-05-25 |