| NPI | 1679989800 |
|---|---|
| Former Name | ABBY MARIE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014023959) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014023959) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-09-27 |