| NPI | 1861853301 |
|---|---|
| Former Name | STACIA L. WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71006146A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71006146) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28171919) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2023-10-02 |