NPI | 1235997032 |
---|---|
Former Name | AUBREY WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13846149-4405) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 138446149-4405) |
Enumeration Date | 2024-03-07 |
Last Update Date | 2025-03-19 |