NPI | 1649228248 |
---|---|
Former Name | DAHLIA J WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ MA74102) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD070230L) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2020-02-10 |