| NPI | 1730334962 |
|---|---|
| Other Name | HEATHER WALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4562) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007348) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209007348) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2021-12-02 |