| NPI | 1619430527 |
|---|---|
| Former Name | CAITLIN AMANDA WOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T2532) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2022-06-02 |