NPI | 1205617529 |
---|---|
Former Name | VANDA PERLMUTTER BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 1205617529) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2024-05-22 |