NPI | 1144514282 |
---|---|
Former Name | ANNIE B WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1620209-6) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 28) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2020-08-10 |