NPI | 1275520744 |
---|---|
Former Name | CAROLYN J WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006950) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00086596) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2007-07-08 |