| NPI | 1467982470 |
|---|---|
| Former Name | ERIN MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704268693) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704268693) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |