NPI | 1992121362 |
---|---|
Former Name | SARAH M WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: VA 0024171571) |
Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: VA 0024171571) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2021-08-02 |