| NPI | 1235624834 |
|---|---|
| Former Name | REBECCA WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 2861266) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ID N-49659) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-07-30 |