| NPI | 1306130786 |
|---|---|
| Former Name | IRISSA N. WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME120306) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME120306) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2023-01-12 |