| NPI | 1871863597 |
|---|---|
| Former Name | SANDRIA JOAN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11001462) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1136932) |
| 163WG0600X Registered Nurse, Gerontology (Licence: FL 1136932) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-06-26 |