| NPI | 1336640622 |
|---|---|
| Former Name | ERIN BROOKE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9366762) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9366762) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-03-19 |