NPI | 1801368485 |
---|---|
Former Name | CHELSEA ANNE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024206) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.415325) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2021-03-31 |