| 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 |