| NPI | 1871914317 |
|---|---|
| Former Name | LINDSAY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA741) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08576) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2017-10-24 |