| NPI | 1629293493 |
|---|---|
| Former Name | KIMBERLEY R. BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 50588-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN # 390200000X) |
| 207W00000X Ophthalmology (Licence: CO DR.51421) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-05-02 |