| NPI | 1619619673 |
|---|---|
| Former Name | ERICA LEE WALKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 2264106) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-10-11 |