| NPI | 1215139142 |
|---|---|
| Former Name | THERESA YVONNE WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp009126) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-03-07 |