NPI | 1316387202 |
---|---|
Former Name | ANTOINETTE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 75702) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 75702) |
208000000X Pediatrics (Licence: GA 6596) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.136478) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2022-07-01 |