| NPI | 1649240938 |
|---|---|
| Former Name | HOLLY J WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 80303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R134082-4) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020040251) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-02-16 |