| NPI | 1215283775 |
|---|---|
| Professional Name | SHENELLE NICOLE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: GA 85818) |
| Additional Taxonomies | 208800000X Urology (Licence: AL 36843) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2023-09-13 |