NPI | 1720525736 |
---|---|
Former Name | HOLLY CHRISTINE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017002566) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79929) |
Enumeration Date | 2017-01-28 |
Last Update Date | 2025-06-19 |