| NPI | 1821729039 |
|---|---|
| Former Name | ELLEN BRYN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP025575) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LP-0010054) |
| Enumeration Date | 2022-06-19 |
| Last Update Date | 2023-09-12 |