NPI | 1124196878 |
---|---|
Former Name | TRACIE L WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9188008) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2011-11-09 |