Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist |
NPI | 1760081988 |
---|---|
Provider Name | Christine J. Wilson |
First Address | Sherman Oaks, CA 91403-3600 |
Second Address | Van Nuys, CA 91405-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2020 |
Last Update Date | 19/10/2020 |