NPI | 1003072349 |
---|---|
Former Name | PAMELA LYNN BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704209177) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2008-08-06 |