| NPI | 1750889929 |
|---|---|
| Other Name | BECKY L WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 31385) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 902310) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-06-27 |