NPI | 1962071563 |
---|---|
Former Name | SARALYN ELIZABETH WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: GA 11179) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: GA 175992) |
Enumeration Date | 2021-06-18 |
Last Update Date | 2021-06-18 |