| 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 |