| NPI | 1356703011 |
|---|---|
| Former Name | LOUISA KING WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD047091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD07091) |
| 207R00000X Internal Medicine (Licence: DC MD047091) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-05-19 |