NPI | 1205287836 |
---|---|
Former Name | ANDREA L. WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71006240) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28176905) |
Enumeration Date | 2016-06-24 |
Last Update Date | 2016-08-16 |