NPI | 1558879502 |
---|---|
Former Name | JULIE ANN WALKO |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201906834NP-PP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201243683RN) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201906834NP-PP) | |
Enumeration Date | 2018-01-11 |
Last Update Date | 2024-10-25 |