| NPI | 1881871119 |
|---|---|
| Other Name | NICOLE CANDY WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 18406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1226) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-12-19 |