| NPI | 1013531144 |
|---|---|
| Former Name | EMILY MICHAELA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026454) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2022-02-25 |