| NPI | 1447539242 |
|---|---|
| Former Name | AMY ELIZABETH WOODS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 12949) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 12949) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-09-30 |