| NPI | 1063746394 |
|---|---|
| Former Name | NEDRA WILSON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CO MWR114) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AZ 0153) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2019-11-06 |