NPI | 1073263224 |
---|---|
Other Name | BRIANNA MARIE WALTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183747) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001211493) |
Enumeration Date | 2022-03-28 |
Last Update Date | 2025-09-09 |