| NPI | 1972733186 |
|---|---|
| Former Name | MARY BETH BALDWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1278) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R30408) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2025-08-12 |