NPI | 1720341852 |
---|---|
Former Name | BRITTANY MICHELLE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA10306100) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116024650) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2022-10-06 |