| NPI | 1912319559 |
|---|---|
| Other Name | MARY COLLEEN WALSH |
| Former Name | MARY COLLEEN WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD15779) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP03098) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2018-03-17 |