| NPI | 1669768610 |
|---|---|
| Former Name | AMANDA A WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME123283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME123283) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-03-30 |