| NPI | 1386393213 |
|---|---|
| Former Name | JESSICA WOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1073260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 833036) |
| 363L00000X Nurse Practitioner (Licence: TX 1073260) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-05-05 |