NPI | 1003834904 |
---|---|
Former Name | AMANDA RHEA WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M1496) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1496) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2011-09-29 |