NPI | 1649765942 |
---|---|
Former Name | MICHELLE MARIE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301506393) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301506393) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2022-09-12 |