| NPI | 1437143286 |
|---|---|
| Former Name | BETH ANN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.06553-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN259056) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-07-31 |