| NPI | 1649682576 |
|---|---|
| Former Name | SRAH WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO193974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60860187) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2026-06-22 |