NPI | 1083083141 |
---|---|
Former Name | ABBY L WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002252A) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085.005691) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2015-09-18 |
Last Update Date | 2023-11-27 |