| NPI | 1679220834 |
|---|---|
| Former Name | CARRIE LYNN WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012355A) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-07-03 |