| NPI | 1043256076 |
|---|---|
| Former Name | LINDA ANN GORT-WALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP004141B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 335751) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-03-16 |