| NPI | 1952911182 |
|---|---|
| Former Name | SAVANNA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2343687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2343687) |
| 163W00000X Registered Nurse (Licence: NH 08282321) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-05-03 |