| NPI | 1174788970 |
|---|---|
| Former Name | AUDRA KINCHEN WOODRUFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 32442) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL 32442) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-03-23 |