NPI | 1346517927 |
---|---|
Former Name | LINDSEY SHAY WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16339) |
363LF0000X Nurse Practitioner, Family (Licence: AL 1-179570) | |
Enumeration Date | 2011-11-25 |
Last Update Date | 2022-06-30 |