| NPI | 1578688560 |
|---|---|
| Former Name | LYDIA WOOD CORNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704215985) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704215985) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-08-28 |