| NPI | 1184046740 |
|---|---|
| Former Name | KARYN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN139914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18168) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2024-03-05 |