NPI | 1811292337 |
---|---|
Former Name | REGINA D WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119886) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 698490) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2020-09-23 |