| NPI | 1235449349 |
|---|---|
| Former Name | SARAH ELIZABETH WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11833) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN325822) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2021-07-01 |