NPI | 1336108646 |
---|---|
Former Name | BECKY S WALTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71001987A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71001987A) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2023-06-26 |