| NPI | 1679089759 |
|---|---|
| Former Name | REBECCA K BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704335942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0165656) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704335942) | |
| 163W00000X Registered Nurse (Licence: MI 4704335942) | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2024-03-12 |