NPI | 1558644955 |
---|---|
Former Name | ELLEN CARLA BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201601411) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2021-06-17 |