| 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 |