NPI | 1962917799 |
---|---|
Former Name | NICOLE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5684) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R169334-8) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-12-01 |
Last Update Date | 2024-07-18 |