NPI | 1982952081 |
---|---|
Former Name | ANNE ELIZABETH BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021509) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2271069) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2023-01-10 |