NPI | 1043779713 |
---|---|
Former Name | CHERYL DIANE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9482974) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9482974) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9482974) | |
Enumeration Date | 2019-03-13 |
Last Update Date | 2021-03-26 |