| NPI | 1134993041 |
|---|---|
| Former Name | SELENA JOYCE WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014849A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28161718A) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2024-08-05 |