| NPI | 1225926025 |
|---|---|
| Former Name | RAQUEL S WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NE 95010) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |