| NPI | 1861905960 |
|---|---|
| Former Name | PAULA ANN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC R108579) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-11-01 |