| NPI | 1902172562 |
|---|---|
| Former Name | LUCINDA MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1798) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 289) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-12-03 |