| NPI | 1881827863 |
|---|---|
| Former Name | REAGAN K WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 698489) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2020-12-10 |