| NPI | 1366925158 |
|---|---|
| Former Name | ELIZABETH CHRISTINE WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010956) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5010956) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2023-02-20 |