| NPI | 1336175413 |
|---|---|
| Former Name | PROVIDENCIA WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00231500) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR11832500) |
| 163W00000X Registered Nurse (Licence: NJ 26NR11832500) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-06-20 |