| NPI | 1811421423 | 
|---|---|
| Former Name | JULIE DANIELLE BAKER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0102207327) | 
| Enumeration Date | 2017-04-20 | 
| Last Update Date | 2022-10-21 |