| NPI | 1487942512 |
|---|---|
| Former Name | BECKY M WOOMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054913) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054913) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2025-01-14 |