NPI | 1245263086 |
---|---|
Former Name | JOAN M BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 132924) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A052615) |
207Q00000X Family Medicine (Licence: NY 235566-1) | |
207Q00000X Family Medicine (Licence: CO 44702) | |
207Q00000X Family Medicine (Licence: SD 9268) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2022-07-21 |