NPI | 1821387325 |
---|---|
Former Name | SHARON HOOPER WALTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1644) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02811) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2025-03-20 |