| NPI | 1093837320 |
|---|---|
| Former Name | SHARON A WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005819) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN1297891) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-12-21 |