NPI | 1720783871 |
---|---|
Former Name | LAURA E WALTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AZ RN147046) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN147046) |
Enumeration Date | 2023-03-30 |
Last Update Date | 2024-12-20 |