NPI | 1285201616 |
---|---|
Former Name | KAITLIN NICOLE WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114482) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL PA9114482) |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-07-15 |