| NPI | 1073884375 |
|---|---|
| Other Name | MICHELLE ELIZABETH WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL 136723) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NC 2016-01339) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2022-01-10 |