NPI | 1104149400 |
---|---|
Other Name | THANH JENNIFER WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC approval # 5004657) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2011-04-13 |