NPI | 1750648382 |
---|---|
Former Name | LYNDA JEAN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-046708) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 20794) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2016-05-19 |