NPI | 1548303035 |
---|---|
Former Name | AMBER MARIE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 72264) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 303735) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2025-03-10 |