NPI | 1396308359 |
---|---|
Former Name | DAYLEY SHEA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 92899) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A187453) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250953) | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2024-09-17 |