| NPI | 1295861235 |
|---|---|
| Former Name | SUSAN CAROLINE NELSON-WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R070218) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R070218) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-06-22 |