| NPI | 1104138890 |
|---|---|
| Professional Name | JENNIFER WALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME141875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0056229) |
| 208000000X Pediatrics (Licence: AR E-11128) | |
| 208000000X Pediatrics (Licence: OK 29629) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-03-30 |