| NPI | 1164835252 |
|---|---|
| Former Name | CHRISTINA WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0314239) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2015-06-03 |