| NPI | 1134871775 |
|---|---|
| Professional Name | AMANDA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 780850) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-305357) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |