| NPI | 1073167185 |
|---|---|
| Professional Name | SHY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 23783) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 104416) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2024-06-14 |