| NPI | 1700338704 |
|---|---|
| Former Name | CHARLOTTE GARMAN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MS PA00329) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00329) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2019-08-27 |