NPI | 1306293337 |
---|---|
Former Name | KRISTIN LOUISE WOODWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61013991) |
Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: OH 382858) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OH 019456) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2021-04-29 |