| NPI | 1902077704 |
|---|---|
| Former Name | TANGELA O'PRIEN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 229672) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 116118) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2023-06-01 |