NPI | 1710310149 |
---|---|
Former Name | KRISTAN BROOKE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-116460) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AL 1-116460) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2024-12-16 |