| NPI | 1326313008 |
|---|---|
| Former Name | KENYETTA D. WOODARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 209009328) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.009328) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2023-11-08 |