| NPI | 1861840761 |
|---|---|
| Former Name | AMY WALZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IA MD-50101) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-50101) |
| 208000000X Pediatrics (Licence: IA R10541) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MT217359) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-08-19 |