| NPI | 1043734189 |
|---|---|
| Former Name | ASHLEY MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP134684) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134684) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-10-28 |