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