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 APN.0999228-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RXN.0108282-NP) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2024-08-05 |