NPI | 1134644685 |
---|---|
Former Name | CHRISTINA MARIE WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903371) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.021503) |
Enumeration Date | 2017-08-06 |
Last Update Date | 2024-07-14 |