| NPI | 1104140821 |
|---|---|
| Former Name | LINDSAY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03942) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003707) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2021-03-09 |