NPI | 1992730972 |
---|---|
Former Name | MARGARET BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 99065) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 100) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2011-07-25 |