NPI | 1841514486 |
---|---|
Former Name | SHERRI LYNN WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5004701) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004701) |
Enumeration Date | 2010-03-25 |
Last Update Date | 2024-06-17 |