| NPI | 1962408229 |
|---|---|
| Former Name | CARRIE S WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2288) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002163) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2021-01-29 |