| NPI | 1871648162 |
|---|---|
| Other Name | JOAN S. WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 14577) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF 9610) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |