| NPI | 1790832202 |
|---|---|
| Former Name | ALICIA A WILKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 818111) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2866) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN1020804) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-07-11 |