| NPI | 1144556564 |
|---|---|
| Former Name | DACY R WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3015650) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4087) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-07-27 |