NPI | 1558960310 |
---|---|
Former Name | EMILY WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95022297) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 28401) |
Enumeration Date | 2020-10-22 |
Last Update Date | 2024-08-29 |