| NPI | 1164867842 |
|---|---|
| Former Name | JESSIE PEYTON WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 1164867842) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2018-10-30 |