NPI | 1306051313 |
---|---|
Other Name | DEBORAH WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R056757) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R056757) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MD R056757) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD R056757) | |
Enumeration Date | 2007-05-12 |
Last Update Date | 2020-06-12 |