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 |