| NPI | 1043863418 |
|---|---|
| Former Name | DEBBIE LEE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025108) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.025108) |
| 207Q00000X Family Medicine (Licence: PA SP020630) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-01-29 |