NPI | 1780186361 |
---|---|
Former Name | CHELSEA ELIZABETH WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136797) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 839794) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2024-12-14 |