| NPI | 1396909826 |
|---|---|
| Former Name | ELLEN NOREEN WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11644569-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV APRN00223) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV APN223) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2022-02-03 |