| NPI | 1003016163 |
|---|---|
| Former Name | HEATHER ANNE WOODRUFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2021-00452) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60514747) |
| 208600000X Surgery (Licence: CO 51412) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2021-08-25 |