NPI | 1518462571 |
---|---|
Former Name | CHELSEA NICOLE WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 64053) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-29 |
Last Update Date | 2022-03-18 |