| NPI | 1194974188 |
|---|---|
| Former Name | CHRISTAL SAFFORD WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-058493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026008) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2025-07-16 |