NPI | 1417192931 |
---|---|
Former Name | KRISTIE NEICHALL WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14284) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14284) |
Enumeration Date | 2008-12-12 |
Last Update Date | 2019-11-07 |