NPI | 1285894998 |
---|---|
Former Name | STEPHANIE MARIE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60476124) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MT 12430) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO none-resident) | |
Enumeration Date | 2008-06-16 |
Last Update Date | 2021-03-24 |