NPI | 1457539553 |
---|---|
Former Name | EMILY MCWATTERS WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 49734) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60256) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2022-02-24 |