| NPI | 1023688397 |
|---|---|
| Former Name | KERRY LYNN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP025871) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: PA RN703274) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-07-28 |