NPI | 1184415846 |
---|---|
Former Name | STEPHANIE LEONETTE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001261771) |
Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: VA 0001261771) |
Enumeration Date | 2025-05-13 |
Last Update Date | 2025-05-13 |