| NPI | 1972582518 |
|---|---|
| Former Name | JUANITA WALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4009524) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 53032) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-07-01 |