| NPI | 1740819739 |
|---|---|
| Former Name | MICHELLE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 533342) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-08-18 |