NPI | 1083805592 |
---|---|
Former Name | WENONAH LINETTE WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A89478) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD28342) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2016-04-08 |