| NPI | 1407873086 |
|---|---|
| Former Name | ELIZABETH C WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3964) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002475) |
| 363A00000X Physician Assistant (Licence: KY PA1654) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-10 |