NPI | 1386188704 |
---|---|
Former Name | LISA WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MO 136790) |
Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: MO 136790) |
163WC1400X Registered Nurse, College Health (Licence: MO 136790) | |
163WG0000X Registered Nurse, General Practice (Licence: MO 136790) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 136790) | |
Enumeration Date | 2016-12-05 |
Last Update Date | 2016-12-05 |