NPI | 1922418292 |
---|---|
Former Name | KATHRYN E BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 324126) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002463) |
Enumeration Date | 2014-05-07 |
Last Update Date | 2021-05-24 |