| NPI | 1669749503 |
|---|---|
| Former Name | EUGENIA LYNN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007324) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15870) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2023-08-29 |