| NPI | 1023364106 |
|---|---|
| Former Name | KATRINA EILEEN WALZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60301097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250106np) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2018-07-27 |