| NPI | 1801015433 |
|---|---|
| Former Name | PEGGY S WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MT 2021) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 9670) |
| 1223G0001X Dentist, General Practice (Licence: TX 34817) | |
| 1223G0001X Dentist, General Practice (Licence: AZ 9670) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-09-30 |