| NPI | 1104917269 |
|---|---|
| Former Name | ARIES D WILFONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001883A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001883) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28144663) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-01-20 |