NPI | 1003548496 |
---|---|
Former Name | LAURA WOODWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95015914) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95222044) |
163W00000X Registered Nurse (Licence: MN 2493994) | |
363LA2100X Nurse Practitioner Acute Care (Licence: MN 8773) | |
Enumeration Date | 2022-06-26 |
Last Update Date | 2022-06-26 |