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 |