| NPI | 1851383244 |
|---|---|
| Former Name | NICOLE LEE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP15718) |
| Additional Taxonomies | 364SX0106X Clinical Nurse Specialist Occupational Health (Licence: CA CNS 2249) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2022-02-09 |