| NPI | 1336899004 |
|---|---|
| Former Name | CAROLYN ANN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 13502722-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 13502722-1205) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-11-25 |