NPI | 1295380178 |
---|---|
Former Name | WHITNEY ALAIR WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008894) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
Enumeration Date | 2019-08-07 |
Last Update Date | 2022-09-27 |