NPI | 1770647661 |
---|---|
Former Name | MERIDITH ANN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 077261-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 180729) |
363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP131108) | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-08-27 |