| NPI | 1235395732 |
|---|---|
| Former Name | RACHEL LEE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 640626) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 640626) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 640626) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-12-04 |