Individual
BRINDA WILSON
Active
Individual
BRINDA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0080980
MD
207L00000X
Anesthesiology Physician
MD454428
PA
207R00000X
Internal Medicine Physician
MT199342
PA
Other
Enumeration date
05/16/2011
Last updated
02/08/2019
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