NPI | 1558879502 |
---|---|
Former Name | JULIE ANN WALKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 12345) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR RN2012423683) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2023-04-20 |