NPI | 1609063924 |
---|---|
Former Name | LEILANI SWIFT WOODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0005230NP) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CO 126642) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2025-03-20 |