| NPI | 1952769614 |
|---|---|
| Former Name | KATRENA L WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004655) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004655) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2022-06-21 |