| NPI | 1093058224 |
|---|---|
| Former Name | AMANDA M. WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007019243) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2013017084) | |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2016-09-09 |