| NPI | 1225323090 |
|---|---|
| Former Name | LORA MICHELLE WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R88-2467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15770) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2023-12-20 |