NPI | 1821337916 |
---|---|
Former Name | NATALIE CHRISTINE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000002287) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2287) |
Enumeration Date | 2013-02-08 |
Last Update Date | 2024-05-13 |