| NPI | 1477716140 |
|---|---|
| Former Name | ABIGAIL MARJORIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053452) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005631) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-10-24 |