| NPI | 1801097183 |
|---|---|
| Former Name | MARLY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200450131NP) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2018-12-28 |