| NPI | 1710330212 |
|---|---|
| Former Name | MARGARET ELIZABETH BADER WALCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704190717) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2021-12-10 |