NPI | 1629240882 |
---|---|
Former Name | MELISSA ANN WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61239189) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61239189) |
207V00000X Obstetrics & Gynecology (Licence: NE 24900) | |
208D00000X General Practice (Licence: NE 24900) | |
Enumeration Date | 2008-03-27 |
Last Update Date | 2022-03-14 |