NPI | 1255751210 |
---|---|
Former Name | MARY NELDA WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IL 036155104) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036155104) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-17 |
Last Update Date | 2024-05-23 |