NPI | 1073985313 |
---|---|
Former Name | CHRYSTAL WOODARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 0994738-NP) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 129123) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2022-01-28 |