| NPI | 1538101472 |
|---|---|
| Former Name | CHARITY L. WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 141748) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-03-08 |