NPI | 1851578694 |
---|---|
Former Name | PAMELA WILSON WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 036697) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2014-03-21 |