NPI | 1184034027 |
---|---|
Professional Name | GLORIA KATHERINE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 18678) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: SC 18678) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MD R162569) | |
Enumeration Date | 2014-04-30 |
Last Update Date | 2022-07-21 |