NPI | 1487011326 |
---|---|
Former Name | HEATHER WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1431) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53156) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2024-09-16 |