| NPI | 1225525702 |
|---|---|
| Former Name | CHELSEA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018729) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2020-08-27 |