| 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 |