| NPI | 1346500360 |
|---|---|
| Former Name | WILSA M.S. CHARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A128767) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A128767) |
| 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: CA A128767) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-01-07 |