NPI | 1396039947 |
---|---|
Former Name | CHRISTINE MARIE WALRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK NURU1227) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 1227) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2025-01-31 |