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 |