NPI | 1033677109 |
---|---|
Former Name | JESSICA RAE BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10033268) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2024-10-02 |