NPI | 1154889152 |
---|---|
Former Name | EMILY WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA066495) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010961) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-08 |
Last Update Date | 2025-05-02 |