| NPI | 1538114764 |
|---|---|
| Professional Name | SUSAN MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 123BB9961) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |