| NPI | 1548303035 |
|---|---|
| Former Name | AMBER MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 303735) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-05-13 |