| NPI | 1346514593 |
|---|---|
| Former Name | DENEAN WALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 17274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 184447) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 104373819) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 184447) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2023-05-24 |