| NPI | 1871125039 |
|---|---|
| Former Name | STEPHANIE A WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI Aprn02259) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2023-05-01 |