| NPI | 1770089344 |
|---|---|
| Former Name | AMELIA LANE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC MD83496) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 83496) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-05-24 |