NPI | 1518169127 |
---|---|
Former Name | CHRISTINA LYNN WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC Apprentice) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC Apprentice) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2007-07-08 |